BROWARD PET IMAGING CENTER LLC (NPI# 1588623904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588623904 |
| Entity Type | Organization |
| Organization Name | BROWARD PET IMAGING CENTER LLC |
| Practice Address |
4850 West Oakland Park Blvd Suite 1a Lauderdale Lakes FL 33313 |
| Practice Telephone | 9547356330 |
| Practice Fax Number | 9757391924 |
| Mailing Telephone | 9547356330 |
| Mailing Fax Number | 9757391924 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-07-11 |
| Authorized Official Name | MR. EDWARD A DAUER (MANAGING MEMBER) |
| Authorized Official Telephone | 9547390978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264327800 | 05 |
| Street Address |
4850 WEST OAKLAND PARK BLVD SUITE 1A |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740351626 | Florida Institute of Health Ltd Lllp | Radiology | 4850 West Oakland Park Blvd, Suite 145, Lauderdale Lakes, FL 33313 | 2006-11-13 |
| 1558458877 | Florida Institute of Health Ltd Lllp | Internal Medicine | 4850 West Oakland Park Blvd, Suite 143, Lauderdale Lakes, FL 33313 | 2006-10-06 |
| 1073629168 | Florida Institute of Health, Ltd Ucp | Radiology | 4850 West Oakland Park Blvd, Suite 145, Lauderdale Lakes, FL 33313 | 2006-08-22 |
| 1942261854 | Florida Institute of Health Ltd Lllp | Clinical Medical Laboratory | 4850 West Oakland Park Blvd, Suite 203, Lauderdale Lakes, FL 33316 | 2006-03-30 |
| 1851352769 | Florida Institute of Health Ltd Lllp | Radiology | 4850 West Oakland Park Blvd, Suite A, Lauderdale Lakes, FL 33313 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447509773 | Ics Radiology, Inc. | Radiology | 5000 West Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2012-08-31 |
| 1518037365 | Mariana Solangel | Radiology | 4900 W Oakland Park Blvd Ste 105, Lauderdale Lakes, FL 33313-1555 | 2006-11-09 |
| 1457776809 | Florida United Radiology, Lc | Radiology | 4850 W Oakland Park Blvd, Suite 205, Lauderdale Lakes, FL 33313-7260 | 2014-02-21 |
| 1982035168 | Sheridan Radiology Services of Kentucky, Inc | Radiology | 4850 W Oakland Park Blvd, Suite 205, Lauderdale Lakes, FL 33313-7260 | 2013-12-12 |
| 1548516545 | Sheridan Radiology Services of Virginia, Inc | Radiology | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2012-07-27 |
| 1043566110 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2012-07-26 |
| 1902152085 | Sheridan Radiology Services of Kentucky, Inc | Radiology | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2012-07-26 |
| 1801182951 | Sheridan Radiology Services of South Florida, Inc | Radiology | 4850 W Oakland Park Blvd, Suite A, Lauderdale Lakes, FL 33313-7260 | 2011-06-27 |
| 1982860946 | Florida United Radiology, Lc | Radiology | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2008-07-30 |
| 1639242605 | Florida Institute of Health Ltd Lllp | Radiology | 4850 W Oakland Park Blvd, Suite 145, Lauderdale Lakes, FL 33313 | 2006-11-16 |
| Find all providers in LAUDERDALE LAKES | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
Please comment or provide details below to improve the information on BROWARD PET IMAGING CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.